The University of Florida Health Science Center - the most comprehensive academic health center in the Southeast - is dedicated to high-quality programs of education, research, patient care and public service.

The UF College of Dentistry is the only public-funded dental school in Florida and is recognized as one of the top U.S. dental schools for the quality of its educational programs, oral health research enterprise and commitment to patient care and service.

The College of Medicine, the largest of six colleges at the University of Florida Health Science Center, opened in 1956 with a mission to increase Florida's supply of highly qualified physicians, provide advanced health-care services to Florida residents and foster discovery in health research.

Founded in 1956, the University of Florida College of Nursing is the premier educational institution for nursing in the state of Florida and is ranked in the top 10 percent of all nursing graduate programs nationwide. The UF College of Nursing continually attracts and retains the highest caliber of nursing students and faculty with a passion for science and caring.

Established in 1923, the College of Pharmacy is the oldest college in the UF Health Science Center. Ranked among the top schools of pharmacy nationally, the college supports research, service and educational programs enhanced with online technologies.

The UF College of Veterinary Medicine is Florida's only veterinary college and provides many unique educational programs for students and services aimed at helping pets, wildlife and endangered species. We offer a a four-year Doctor of Veterinary Medicine programs as well as M.S. and Ph.D. degrees in Veterinary Medical Sciences.

Co-located with the Shands Jacksonville Hospital, the Jacksonville Health Science Center excels in education, research and patient care that expresses our abiding values of compassion, excellence, professionalism and innovation. Our state-of-the-art medical center serves an urban population of 1 million from north Florida to south Georgia.

The UFCOM-J offers accredited graduate medical education residency and fellowship programs, in addition to non-standard fellowship programs. Clinical rotations in all the major disciplines are provided for UFCOM undergraduate medical students and elective rotations to students from other accredited schools.

The UFHSC-J is a clinical teaching site for the Gainesville-based College of Nursing. Students rotate through the various clinical settings on the campus, and primary care centers and specialty care centers located throughout Jacksonville.

The UF College of Pharmacy-Jacksonville offers a four-year Doctor of Pharmacy (Pharm.D.) Program completed entirely in Jacksonville. Also offered on campus is an American Society of Health-System Pharmacists-accredited pharmacy residency program at Shands Jacksonville.

University of Florida Health knows how important ongoing medical learning is to health care providers and the community. That is why we provide online Continuing Medical Education (CME) courses for you to complete for CME credits. These courses share the latest in medical knowledge, teach new patient-relationship skills and help providers deal with relevant current issues.

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Definition

Generalized anxiety disorder (GAD) is a mental health condition in which a person is often worried or anxious about many things and finds it hard to control this anxiety.

Alternative Names

GAD; Anxiety disorder

Causes

The cause of GAD is unknown. Genes may play a role. Stress may also contribute to the development of GAD.

GAD is a common condition, affecting about 3% of people. Anyone can develop this disorder, even children. GAD occurs more often in women than in men.

Symptoms

The main symptom is frequent worry or tension for at least six months, even when there is little or no clear cause. Worries seem to float from one problem to another. Problems may involve family, other relationships, work, school, money, and health.

Even when aware that worries or fears are stronger than appropriate for the situation, a person with GAD still has difficulty controlling them.

Other symptoms of GAD include:

Problems concentrating

Fatigue

Irritability

Problems falling or staying asleep, or sleep that is restless and unsatisfying

Restlessness when awake

Other physical symptoms may also be present. These can include muscle tension, upset stomach, sweating, or difficulty breathing.

Exams and Tests

There is no test that can make a diagnosis of GAD. The diagnosis is based on your answers to questions about the symptoms of GAD. Your health care provider will ask about these symptoms, and will likely ask you about other aspects of your mental and physical health. A physical exam or laboratory tests may be done to rule out other conditions that cause similar symptoms.

Treatment

The goal of treatment is to help you feel better and function well in daily life. In less severe cases, talk therapy or medication alone can be helpful. In more severe cases, a combination of these may work best.

Talk Therapy

Many types of talk therapy may be helpful for GAD. One common and effective talk therapy is cognitive-behavioral therapy (CBT). CBT can help you understand the relationship between your thoughts, your behaviors, and your symptoms. Often CBT involves a set number of visits. During CBT you can learn how to:

Understand and gain control of distorted views of stressors, such as other people's behavior or life events.

Recognize and replace panic-causing thoughts to help you feel more in control.

Manage stress and relax when symptoms occur.

Avoid thinking that minor problems will develop into terrible ones.

Medicines

Medicines can also be an important part of treatment. Once you start them, do not stop taking them without talking with your health care provider. Commonly prescribed medicines for GAD include antidepressants and benzodiazepines.

Self-care

Other than taking medicine and going to therapy, you can help yourself get better by:

Reducing caffeine

Not using street drugs

Exercising, getting enough rest, and eating healthy foods

Support Groups

You can ease the stress of having GAD by joining a support group. Sharing with others who have common experiences and problems can help you not feel alone.

Support groups are usually not a good substitute for talk therapy or medication, but can be a helpful addition.

Outlook (Prognosis)

How well a person does depends on how severe the condition is. In some cases, GAD is long-term and is difficult to treat. Most patients, though, get better with medicine and/or talk therapy.

Possible Complications

Depression and substance abuse may occur with an anxiety disorder.

When to Contact a Medical Professional

Call your health care provider if you frequently worry or feel anxious, especially if it interferes with your daily activities.